Rare extraperitoneal involvement with fatal outcome in a case of bilateral luteinized thecoma of the ovaries with sclerosing peritonitis

Mohamed A Medhat; Mohamed A Y Abdel Malek; Saad Zaki; Ahmed Helmy; James J Driscoll

doi:10.1155/2014/904581

Rare extraperitoneal involvement with fatal outcome in a case of bilateral luteinized thecoma of the ovaries with sclerosing peritonitis

Case Rep Oncol Med. 2014:2014:904581. doi: 10.1155/2014/904581. Epub 2014 Jun 5.

Authors

Mohamed A Medhat¹, Mohamed A Y Abdel Malek², Saad Zaki¹, Ahmed Helmy¹, James J Driscoll³

Affiliations

¹ Department of Tropical Medicine and Gastroenterology, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.
² Department of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut 71515, Egypt ; Department of Internal Medicine, College of Medicine, 231 Albert Sabin Way, University of Cincinnati, Cincinnati, OH 45267-0557, USA ; The Vontz Center for Molecular Studies, 3125 Eden Avenue, University of Cincinnati, Cancer Institute, Cincinnati, OH 45267-0508, USA.
³ Department of Internal Medicine, College of Medicine, 231 Albert Sabin Way, University of Cincinnati, Cincinnati, OH 45267-0557, USA ; The Vontz Center for Molecular Studies, 3125 Eden Avenue, University of Cincinnati, Cancer Institute, Cincinnati, OH 45267-0508, USA ; The Vontz Center for Molecular Studies, 3125 Eden Avenue, Division of Hematology and Oncology, University of Cincinnati, College of Medicine, Cincinnati, OH 45267-0508, USA.

Abstract

We report the case of a woman diagnosed with bilateral luteinized thecoma of the ovaries with sclerosing peritonitis, multiple intraperitoneal cystic lesions, and extraperitoneal lesions of the liver, inferior to the spleen, and high suspicion of bone marrow involvement. The patient developed profound pancytopenia with rapid clinical deterioration and a fatal outcome.